• Care Management Specialist II

    LA Care Health Plan (Los Angeles, CA)
    …Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California ... License. Licenses/Certifications Preferred Certified Case Manager (CCM) Accredited Case Manager (ACM) Certification Case Management Nurse - Board… more
    LA Care Health Plan (12/20/25)
    - Related Jobs
  • Clinical Quality Manager

    Fresenius Medical Center (East Hartford, CT)
    …related field preferred or an equivalent combination of education and experience + Registered Nurse required + Certification in Nephrology Nursing or quality ... barriers to quality improvement. This includes promoting the adoption and utilization of Corporate Medical Advisory Board Recommended Algorithms and Standing Orders,… more
    Fresenius Medical Center (11/04/25)
    - Related Jobs
  • BH Provider Engagement Program Manager

    Commonwealth Care Alliance (Boston, MA)
    …member experience. * Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... does not have direct reports. Essential Duties & Responsibilities: Provider Relationship Management * Serve as the primary relationship manager and point… more
    Commonwealth Care Alliance (10/18/25)
    - Related Jobs
  • Care Manager - Readmission Specialist

    Stony Brook University (Stony Brook, NY)
    …telephonically post-discharge and assist with barriers to care * Prior experience with Care Management or Utilization Management * Understand levels of care ... Care Manager - Readmission Specialist **_Position Summary_** _At Stony...is provided to the patients. * Documents the case management plans such as clinical needs, barriers, utilization more
    Stony Brook University (12/20/25)
    - Related Jobs
  • Manager Patient Care Services - CCU…

    McLaren Health Care (Flint, MI)
    …department policies, procedures, protocols and regulations. #LI-KH1 _Required:_ + Licensed as a Registered Nurse to practice nursing in Michigan + BSN or ... **Position Summary:** Has responsibility for 24-hour accountability for the management of assigned patient care unit(s)/function(s). In this capacity, will… more
    McLaren Health Care (10/25/25)
    - Related Jobs
  • Pediatric Clinical Case Manager

    SUNY Upstate Medical University (Syracuse, NY)
    …years acute care RN or acute care, transitional care, or chronic care RN /case management experience OR Associates degree in Nursing and five (5) years acute ... Job Summary: The Pediatric Clinical Case Manager 's primary responsibility is to facilitate the continuum... or acute care, transitional care, or chronic care RN /case management experience required. *If Associate in… more
    SUNY Upstate Medical University (12/02/25)
    - Related Jobs
  • Access Manager

    University of Virginia (Charlottesville, VA)
    …in outpatient/ambulatory setting. Licensure: None required. Licensed to practice as a Registered Nurse in the Commonwealth of Virginia preferred. PHYSICAL ... patient care, including billing, insurance claims, payment processing, financial counseling, utilization and revenue cycle analysis. These roles are responsible for… more
    University of Virginia (11/20/25)
    - Related Jobs
  • Charge Nurse Weekend Only Plan - Labor…

    Roper St. Francis (Summerville, SC)
    …for Primary Charge Nurse I. **Experience:** At least 2 years' experience as a registered nurse in a direct care patient setting for Primary Charge Nurse ... for considering a career at Roper St. Francis Healthcare! ** Manager seeking prior Labor And Delivery RN ...role. **Licensure/Certification:** Applicant must be currently licensed as a Registered Nurse in South Carolina or hold… more
    Roper St. Francis (12/05/25)
    - Related Jobs
  • Onsite Care Management Supervisor (Hybrid)

    CareFirst (Baltimore, MD)
    …are subject to change based on evolving business needs. **Licenses/Certifications** : Health Services\ RN - Registered Nurse - State Licensure and/or Compact ... Supervisor will direct and coordinate the activities of Onsite Care Management staff, Onsite Clinical Navigators and/or other Registered Nursing roles… more
    CareFirst (10/14/25)
    - Related Jobs
  • Nurse Manager - Mother Baby Unit…

    UTMB Health (Galveston, TX)
    Nurse Manager - Mother Baby Unit (Galveston) **Galveston, Texas, United States** **Hot** Nursing & Care Management UTMB Health Requisition # 2506893 ... clinical experience which includes two (2) years of progressive management experience (ie Charge Nurse , Nursing Supervisor,... experience (ie Charge Nurse , Nursing Supervisor, Nurse Administrator, or Assistant Nurse Manager more
    UTMB Health (12/05/25)
    - Related Jobs